FOAL NOMINATION FORM

One time nomination fee. All nominated horses are eligible for Stake Purse Classes.
Breeders Purse Class eligibility based on stallion’s year(s) of enrollment. LIFETIME NOMINATION

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HORSE INFORMATION

Horse Name*

Foaling Date*

Breed(s):

Registration #:

Sex:

Sire:

Dam:

Dam' Sire:

OWNER INFORMATION

Owner*

First Last

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Phone

Email*

Social Security #*

NOMINATION FEE SCHEDULE - LIFETIME NOMINATION

Fees are based on age of foal at time of nomination. Nominate early to avoid higher nomination fees. ALL nominated foals are eligible to compete for Stakes Purses. Breeders Purse eligibility based on stallion’s year(s) of enrollment. Please choose the applicable nomination fee below based on the age of your Super Sires foal.

Nomination Fee will include 4.5% Bank Fee at checkout:*

WEANLING NOMINATION $150 - by December 31 of foaling year: $156.75 with bank fee

YEARLING NOMINATION $250 - December 31 of yearling year: $261.25 with bank fee

TWO & THREE YEAR OLD NOMINATION $350 - by December 31 of 3YO year: $365.75 with bank fee

FOUR YEAR OLD & UP NOMINATION $150 - after January 1 of 4YO year: $156.75 with bank fee

Total

Registration Papers

Have papers

Pending

Please include a copy of registration papers (or select “pending” if you have not received papers.)

Upload Registration Papers*

Accepted file types: jpg, png, pdf, Max. file size: 2 MB.

Credit Card

Cardholder Name

Card Details

Name

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